Physician Resources

WSMA staff can assist physicians and their practices with questions and concerns about the state's health benefit exchange. Please contact Bob Perna at our Practice Resource Center with any questions at 1 (800) 552-0612 or (206) 441-9762 (rjp@wsma.org).

Information for physicians/employers

The following resources can help you make informed independent decisions, whether as a physician deciding to participate or as an employer deciding insurance options for your employees.

Approved health insurers and plans for 2016
The Office of the Insurance Commissioner has approved health insurers and individual health plans to be offered through Washington Healthplanfinder in 2016, and additional health plans to be offered through Washington Healthplanfinder Business, formerly known as SHOP.
View the health insurers and qualified health plans (insurance products) to be offered for 2016, through the individual exchange - Washington Healthplanfinder - and Washington Healthplanfinder Business, formerly known as SHOP.

Instructional videos

In the following short presentations, Katie Kolan, JD, WSMA director of legislative and regulatory affairs, explains in clear concise language what physicians need to know about Washington state's health benefit exchange.

Health benefit exchange 101

This presentation gives a basic overview of Washington's efforts to improve access to care through the health benefit exchange and Medicaid expansion.

Health benefit exchange details

This presentation gets into the details of the state's health benefit exchange—how is it structured, the benefit package, major benefits to consumers, impacts on physicians.

Health benefit exchange: Who can participate? How can WSMA help?

This presentation discusses who can participate, how can they sign up, physician participation in the exchange and how WSMA can help physicians.

WSMA physician concerns with the health benefit exchange

This presentation talks about physician concerns with the state's health benefit exchange—including network adequacy, contracting with plans and WSMA services to help physicians.